Third-Party Disability in Family Members of People With Communication Disorders Associated With Parkinson's Disease

Mach, Helen; Baylor, Carolyn; Pompon, Rebecca Hunting; Yorkston, Kathryn M.

doi:10.1097/tld.0000000000000172

Cited by 18 publications

(8 citation statements)

References 27 publications

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“…More than 50% of people with PD will present with reduced speech intelligibility over the course of the disease [28]; this change to intelligibility has been shown to negatively impact communication participation [30][31][32]. Moreover, unlike the other motor deficits of PD, dysarthria is more apt to lead to changed relationships and a loss of connection with family and friends [33].…”

Section: Methodsmentioning

confidence: 99%

Predictors of Health-Related Quality of Life and Communicative Participation in Individuals with Dysarthria from Parkinson's Disease

A¹,

Friedlander²,

Brown³

2020

Int J Neurodegener Dis

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Purpose:The motor and non-motor deficits of Parkinson's disease (PD) can cause daily challenges and have been associated with reduced health-related quality of life (HrQoL). A number of variables have been consistently, though not unequivocally, identified as important in influencing overall HrQoL in individuals with PD, such as demographic factors, cognitive decline, and level of motor impairment. However, the presence and severity of dysarthria is often overlooked, despite the potentially adverse influence on HrQoL. The primary purpose of this study was to understand the predictors of HrQoL, as well as self-perceived communication participation, in individuals with PD who have dysarthria.Methods: Twenty-seven participants with Parkinson's disease and dysarthria completed the study. Linear regression was used to determine the predictive ability of motor function, speech intelligibility and cognitive performance on HrQoL and communicative participation; models were run with and without the demographic/clinical variables of age, sex, years of education, disease duration, and depression scores.Results: HrQoL was significantly predicted by the severity of motor symptoms and the combination of cognitive functioning with age, whereas communicative participation was only predicted by monologue intelligibility.Conclusions: This preliminary study suggests that the HrQoL of individuals with dysarthria from PD may be most affected by overall motor function, while participation in life situations may be most influenced by decreased conversational intelligibility. ReSeARCh ARtiCleCheck for updates people globally [1] and is considered a complex multidimensional disorder that leads to a broad array of motor and non-motor symptoms [2]. The primary motor characteristics of PD include tremor, rigidity, bradykinesia/akinesia, and postural instability; secondary motor characteristics include dysarthria, dysphagia, and micrographia. Non-motor symptoms emerge from numerous domains, including cognitive, neuropsychiatric, sleep, sensory, and autonomic systems [3], and are present in the majority of people with PD.Both the motor deficits [4,5] and non-motor deficits [6-8] can cause daily challenges and have been associated with reduced quality of life. The motor impairments often lead to decreased physical mobility, which is the most commonly reported problem among people with PD [4,5]. Additionally, motor impairments negatively impact the ability to complete activities of daily living (ADLs) which can lead to a decreased level of independence. Non-motor deficits, particularly cognitive impairment, are commonly observed across the course of PD, with approximately 15%-25% of people presenting with challenges in the early stages of the disease and 50-80% of people demonstrating dementia over the course of the disease [9,10]. The characteristics of cognitive impairment vary by person, but may include a decline in executive function, attention, memory, working memory, and visuospatial functioning [10][11][12][13]. Cognitive deficits in ind...

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Section: Methodsmentioning

confidence: 99%

Predictors of Health-Related Quality of Life and Communicative Participation in Individuals with Dysarthria from Parkinson's Disease

A¹,

Friedlander²,

Brown³

2020

Int J Neurodegener Dis

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show abstract

Section: Methodsmentioning

confidence: 99%

Untitled

2020

Int J Neurodegener Dis

View full text Add to dashboard Cite

Purpose: The motor and non-motor deficits of Parkinson's disease (PD) can cause daily challenges and have been associated with reduced health-related quality of life (HrQoL). A number of variables have been consistently, though not unequivocally, identified as important in influencing overall HrQoL in individuals with PD, such as demographic factors, cognitive decline, and level of motor impairment. However, the presence and severity of dysarthria is often overlooked, despite the potentially adverse influence on HrQoL. The primary purpose of this study was to understand the predictors of HrQoL, as well as self-perceived communication participation, in individuals with PD who have dysarthria. Methods: Twenty-seven participants with Parkinson's disease and dysarthria completed the study. Linear regression was used to determine the predictive ability of motor function, speech intelligibility and cognitive performance on HrQoL and communicative participation; models were run with and without the demographic/clinical variables of age, sex, years of education, disease duration, and depression scores. Results: HrQoL was significantly predicted by the severity of motor symptoms and the combination of cognitive functioning with age, whereas communicative participation was only predicted by monologue intelligibility. Conclusions: This preliminary study suggests that the HrQoL of individuals with dysarthria from PD may be most affected by overall motor function, while participation in life situations may be most influenced by decreased conversational intelligibility. ReSeARCh ARtiCle Check for updates people globally [1] and is considered a complex multidimensional disorder that leads to a broad array of motor and non-motor symptoms [2]. The primary motor characteristics of PD include tremor, rigidity, bradykinesia/akinesia, and postural instability; secondary motor characteristics include dysarthria, dysphagia, and micrographia. Non-motor symptoms emerge from numerous domains, including cognitive, neuropsychiatric, sleep, sensory, and autonomic systems [3], and are present in the majority of people with PD. Both the motor deficits [4,5] and non-motor deficits [6-8] can cause daily challenges and have been associated with reduced quality of life. The motor impairments often lead to decreased physical mobility, which is the most commonly reported problem among people with PD [4,5]. Additionally, motor impairments negatively impact the ability to complete activities of daily living (ADLs) which can lead to a decreased level of independence. Non-motor deficits, particularly cognitive impairment, are commonly observed across the course of PD, with approximately 15%-25% of people presenting with challenges in the early stages of the disease and 50-80% of people demonstrating dementia over the course of the disease [9,10]. The characteristics of cognitive impairment vary by person, but may include a decline in executive function, attention, memory, working memory, and visuospatial functioning [10-13]. Cognitive deficits in indivi...

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“…SLPs may want to adapt approaches such as those used in self-management health programs for coaching and supporting clients (Lorig & Holman, 2003;Yorkston, Baylor, & Britton, 2017a). (Grawburg, Howe, Worrall, & Scarinci, 2013;Mach, Baylor, Hunting Pompon, & Yorkston, 2019). Similar literature is available relevant to families of children with disabilities that are often associated with communication disorders (Abbeduto et al, 2004;Estes et al, 2009;Guillamon et al, 2013;N.…”

Section: Intervention Addressing Environmental Modificationsmentioning

confidence: 97%

Achieving Participation-Focused Intervention Through Shared Decision Making: Proposal of an Age- and Disorder-Generic Framework

Baylor

Darling-White

2020

Am J Speech Lang Pathol

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Introduction The World Health Organization's International Classification of Functioning, Disability and Health calls on speech-language pathologists (SLPs) to provide care that impacts all aspects of an individual's experience with a communication disorder, including their participation in valued life situations. However, SLPs often report feeling unprepared to implement and document interventions that target life participation. The purpose of this article is to propose a framework to guide participation-focused intervention practices. This age- and disorder-generic framework is designed to be applicable with clients across the variety of settings in which SLPs work. Method In this clinical focus article, we draw on past research and clinical experience to propose a restructuring of World Health Organization's International Classification of Functioning, Disability and Health components such that participation is the primary focus and outcomes indicator for intervention. In this framework, a specific communicative participation situation is identified and assessed quantitatively, and a corresponding participation-focused goal is established through shared decision making. Following that, assessments are conducted and goals are established in the areas of communication skills, physical and social environments, and personal perspectives. Results The proposed framework provides a concrete organizational structure as well as assessment, goal-writing, and intervention examples to assist SLPs in translating theoretical biopsychosocial frameworks into clinical practices. Conclusions SLPs can and do provide holistic communication services to clients to help them achieve their life participation goals. This article provides an example as to how we can document the need for, as well as the value and impact of our important work, meeting the diverse life participation needs of clients. Supplemental Material https://doi.org/10.23641/asha.12360758

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Third-Party Disability in Family Members of People With Communication Disorders Associated With Parkinson's Disease

Cited by 18 publications

References 27 publications

Predictors of Health-Related Quality of Life and Communicative Participation in Individuals with Dysarthria from Parkinson's Disease

Predictors of Health-Related Quality of Life and Communicative Participation in Individuals with Dysarthria from Parkinson's Disease

Untitled

Achieving Participation-Focused Intervention Through Shared Decision Making: Proposal of an Age- and Disorder-Generic Framework

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